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2025 Reconciliation Law

How Will the 2025 Reconciliation Law Affect the Uninsured Rate in Each State?

This analysis apportions the increase in the number of uninsured across the 50 states and DC. CBO estimates that the reconciliation law will increase the number of uninsured by 10 million in 2034. That number would rise to over 14 million if enhanced premium tax credits for ACA Marketplace enrollees expire later this year.

ANALYSIS

Allocating Federal Medicaid Spending Reductions Across States

Policy Tracker

Medicaid Provisions in the 2025 Budget Reconciliation Law

ANALYSIS

How Might Federal Medicaid Cuts Affect Rural Areas?

From Drew Altman

Can Democrats Make Medicaid and ACA Cuts Their Winning Political Issue?

Work Requirements

How Will States Implement Medicaid Work Requirements?

Event Date:

Four experts, including two state Medicaid directors, will join Health Wonk Shop moderator Larry Levitt in an hour-long discussion of how states will go about implementing new Medicaid work requirements.

Eligibility and coverage

  • Eligibility, Enrollment, and Renewal Policies

    KFF's survey findings capture state actions that seek to improve the accuracy and efficiency of Medicaid and CHIP enrollment and renewal processes, as of January 2025.

  • Seniors and People with Disabilities

    More than 1 in 3 people with disabilities (15 million) have Medicaid (35%). In comparison, only 19% of people without disabilities have Medicaid.

  • Children with Special Needs

    Amid debates about proposed cuts to federal Medicaid spending, this brief analyzes key characteristics of children with special health care needs and explores how Medicaid provides them with coverage.

  • Adults with Mental Illness

    Options under consideration in Congress to significantly reduce Medicaid spending could have major implications for adults who live with mental illness.

  • Adults with Chronic Conditions

    Among working age adults enrolled in Medicaid, approximately three quarters have one or more chronic conditions, and nearly one-third have three or more.

The Essentials

  • 5 Facts: Immigrants and Medicaid

    This brief provides five key facts on Medicaid and immigrants as context for understanding the potential impacts of policy changes under the Trump administration.

  • 5 Facts: Medicaid and Hospitals

    This brief explains the role of Medicaid for hospitals, including how much spending on hospital care comes from Medicaid, the share of births covered by the program, and how Medicaid expansion has impacted hospital finances.

  • Medicaid Financing: The Basics

    Medicaid is a major source of financing for states to provide health coverage and long-term services and supports for low-income residents. This brief examines key questions about Medicaid financing and how it works.

  • 5 Facts: Medicaid’s Share of National Health Spending

    This brief explores how Medicaid spending contributes to national health spending and how different service areas contribute to Medicaid costs.

  • 5 Facts: Medicaid and Nursing Facilities

    The substantial Medicaid savings in the reconciliation bill could have major implications for nearly 15,000 federally certified nursing facilities and the 1.2 million people living in them.

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  • The Texas Health Care Landscape

    Fact Sheet

    This fact sheet summarizes the Texas health care landscape, including data on demographics, population health, the uninsured and the state Medicaid program. Fact Sheet (.

  • California and Texas: Section 1115 Medicaid Demonstration Waivers Compared

    Fact Sheet

    This fact sheet compares and contrasts key provisions of the California and Texas Section 1115 Medicaid demonstration waivers. The Texas waiver, approved in December 2011, is modeled, in part, on the California waiver, which has been underway in that state since November 2010.

  • Inside Deficit Reduction: What It Means For Medicaid

    Event Date:
    Event

    This briefing, co-sponsored by the Alliance for Health Reform, the Kaiser Family Foundation, the Robert Wood Johnson Foundation and The SCAN Foundation, featured panelists discussing which deficit-reduction proposals affecting Medicaid might receive serious consideration by the congressional "super committee," as well as what kind of impact such changes would have on Medicaid enrollees, providers and…

  • Claire Smith

    Other

    Claire Smith, now 5 years old, was born with a rare genetic syndrome whose symptoms include multiple, severe physical, developmental, and intellectual disabilities. Claire’s family has private health insurance, but because of its bureaucratic barriers, her parents have had to struggle to obtain the care Claire needs.

  • Edward Henry

    Other

    Edward Henry, age 64, lives independently now, following three years in nursing homes after he lost both legs to an infection. Edward’s goal was always to live again on his own, and he was able to make this transition through Georgia Medicaid’s “Money Follows the Person” (MFP) program.

  • Michelle Foster

    Other

    Michelle Foster and her four-month-old baby, Anthwonnia, have both benefited from Medicaid. With Medicaid, Michelle received all her prenatal care on time, and, when she developed gestational diabetes, she was able to get the specialist care that she needed as well.

  • Carmen, Crystal, and Nelly Rosado

    Other

    When Carmen Rosado got divorced a few years ago, she and her two teen daughters, Crystal and Nelly, lost their private health insurance. Carmen took a new job working nights, but it offered no health coverage and, without Medicaid, the family would have been uninsured.

  • Brenda Christiansen

    Other

    Brenda Christiansen, age 52, was diagnosed with breast cancer about a year ago. When she first noticed a worrisome lump, she was in the three-month waiting period for the health insurance offered through the nursing job she had recently taken. Within days of qualifying for this coverage, she was laid off.

  • Financial Alignment Models for Dual Eligibles: An Update

    Issue Brief

    The nearly nine million dual eligibles who receive both Medicare and Medicaid benefits are a high cost, high need population, accounting for a disproportionate share of expenditures relative to their enrollment in both programs.